Maternal & Child Health Nursing: Urinary Tract Infections
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Questions and Answers

What is the primary purpose of RhoGAM injection during pregnancy?

  • To prevent RH incompatibility issues (correct)
  • To treat jaundice in the mother
  • To address swelling in the baby's body
  • To prevent anemia in the baby
  • When is the RhoGAM injection typically given if the mother and baby may be RH incompatible?

  • After birth
  • After 32 weeks AOG
  • Between 26-28 weeks AOG (correct)
  • Between 20-24 weeks AOG
  • What can happen if there is RH incompatibility during pregnancy or delivery?

  • Jaundice in the mother
  • Heart failure or breathing problems in the baby (correct)
  • Abortion may occur
  • The baby could develop hydrocephalus
  • Why might a doctor administer another RhoGAM injection during pregnancy?

    <p>In case of exposure to fetal blood</p> Signup and view all the answers

    What complication is associated with fetal edema and liver swelling due to insufficient albumin?

    <p>$HYDROPS FETALIS$</p> Signup and view all the answers

    What is the purpose of Rh (D) antibodies (RhIG) in managing anemia?

    <p>To prevent hemolysis of red blood cells</p> Signup and view all the answers

    When should a client receive a RhoGAM injection after birth?

    <p>$20-72$ hours after birth</p> Signup and view all the answers

    In which scenario during pregnancy might a doctor recommend another RhoGAM injection?

    <p>$Bleeding during pregnancy$</p> Signup and view all the answers

    What issue could arise from Rh sensitization during pregnancy?

    <p>$Fetal jaundice$</p> Signup and view all the answers

    Study Notes

    Urinary Tract Infection (UTI)

    • If urine burns or stings, it may be a sign of UTI
    • Contact a healthcare provider right away to treat it
    • Advise pregnant women not to reduce fluid intake, as dehydration can lead to UTI

    Fatigue During Pregnancy

    • Fatigue is a common symptom during pregnancy, especially in the first 12 weeks
    • Hormonal changes, growing baby, and anemia (low iron) can contribute to fatigue
    • Anemia signs include pale skin, shortness of breath, and fainting spells
    • Nursing interventions: focus on nutrient-rich foods, avoid meal-skipping

    Vaginal Prolapse

    • Weakening of vaginal walls, allowing pelvic organs to protrude into the vagina
    • Risk factors: age, parity, vaginal delivery
    • Types of prolapse: Cystocele (bladder into anterior vaginal wall), Rectocele (rectum into posterior vaginal wall), Uterine Prolapse (uterus into vagina)
    • Clinical manifestations: pelvic pressure, fatigue, urinary incontinence, back and pelvic pain

    Rheumatic Disorders and Pregnancy

    • Rheumatoid arthritis: joint inflammation, contracture, swelling, erythema, painful motion
    • Complications: permanent joint disfigurement, loss of joint motion, increased bleeding at birth
    • Treatment: corticosteroids, NSAIDs, oral aspirin therapy

    Substance Abuse During Pregnancy

    • Opiate abuse: fetal dependence, withdrawal symptoms, small size, fetal distress, meconium aspiration
    • Inhalant abuse: respiratory and cardiac irregularities, fetal oxygen supply limitation
    • Alcohol abuse: Fetal Alcohol Syndrome (FAS), facial abnormalities, cognitive problems, memory difficulties

    Anemia and Rh Incompatibility

    • Anemia: destroyed RBCs faster than production
    • Jaundice: swelling of the baby's body, heart failure, breathing problems
    • Rh incompatibility: RhoGAM injection (arm or backside) to prevent immune system reaction

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    Description

    This quiz covers the signs of urinary tract infections in pregnant women as discussed in Pillitteri's Maternal & Child Health Nursing II textbook. It emphasizes the importance of contacting a healthcare provider promptly and not reducing fluid intake during pregnancy.

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